Accessibility to health services and position of users in the social space in Salvador, Bahia, Brazil, 2006: a cross-sectional study

• Autor(a) principal: Melo, Daiane Celestino
• Data de Publicação: 2021
• Outros Autores: Vieira-da-Silva, Ligia Maria, Cunha, Alcione Brasileiro Oliveira, Costa, Maria da Conceição Nascimento, Cruz, Shirley Andrade
• Tipo de documento: preprint
• Idioma: por
• Título da fonte: SciELO Preprints
• Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/1943
• topic: Acesso aos Serviços de Saúde; Atenção Primária à Saúde; Disparidades nos Níveis de Saúde; Estudos Transversais; Health Services Accessibility; Primary Health Care; Health Status Disparities; Cross-Sectional Studies

Objective: To analyze the association between social position and access to health services. Methods: Cross-sectional study in selected health units of Salvador, Bahia, Brazil. Pearson's chi-square test and logistic regression were used. Results: 467 users participated, 75.6% did not finish high school; 78.7% had <2 minimum wages; 51.8% had intermediate/qualified occupations. Low income was associated with arriving at the health unit the night before or before 8 am. (odds ratio = 2.09 – 95%IC 1.13;3.87) and spend more time making an appointment (odds ratio = 2.13 – 95%IC 1.05;4.31). Elementary occupation was associated with scheduling with face-to-face appointment scheduling (odds ratio = 1.68 – 95%IC 1.14;2.45). Education and social trajectory showed no significant association with the use of health services. Conclusion: Social inequalities in access to services remained after intervention to improve accessibility.